Organization Active NPI

Mid-Columbia Center for Living

  • Community/Behavioral Health Agency
  • The Dalles, OR
National Provider Identifier
1366863607
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MID-COLUMBIA CENTER FOR LIVING
Practice address
3601 W 10TH St
The Dalles, OR 97058-4377
Phone
(541) 296-5452
Fax
(541) 296-9418
NPI assigned
Jan 3, 2014
Organization subpart
Yes
Parent organization
MID-COLUMBIA CENTER FOR LIVINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara Seatter
Title
Executive Director
Phone
(541) 296-5452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OR Primary

Addresses

Primary practice location

3601 W 10TH St
The Dalles, OR 97058-4377

Mailing address

419 E 7TH St
Annex a
The Dalles, OR 97058-2676
Phone (541) 296-5452

Other names 1

  • MCCFL THE DALLES MAST Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mid-Columbia Ctr for Living11 organizations share this tax ID, including this one
Part of
Mid-Columbia Ctr for Living

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3601 W 10th St
The Dalles, OR 97058
Phone (458) 854-4966

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1366863607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E 7TH ST",
            "address_2": "ANNEX A",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582676",
            "telephone_number": "541-296-5452",
            "fax_number": "541-296-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 10TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970584377",
            "telephone_number": "541-296-5452",
            "fax_number": "541-296-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-COLUMBIA CENTER FOR LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-COLUMBIA CENTER FOR LIVING",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "SEATTER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-296-5452"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCFL THE DALLES MAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.